Provider Demographics
NPI:1174716625
Name:ROSECRANS-GARCIA, JANET ELAINE (MA, MFT)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ELAINE
Last Name:ROSECRANS-GARCIA
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:MRS
Other - First Name:JANET
Other - Middle Name:ELAINE
Other - Last Name:ROSECRANS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:200 N HARBOR BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2511
Mailing Address - Country:US
Mailing Address - Phone:714-535-5320
Mailing Address - Fax:
Practice Address - Street 1:200 N HARBOR BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2510
Practice Address - Country:US
Practice Address - Phone:714-535-5320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-18
Last Update Date:2007-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC17550106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist